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Rate Leverage

Negotiate on your timeline, not theirs.

Every payer contract renewal window mapped and ranked by dollars at stake, each one paired with its own documented rate gap vs your local-peer P90 target. Walk in on time, with the number already in hand.

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No PHI required. No card to start. Every dollar modeled vs your local-peer median, not guaranteed.
2.78x
The spread between the local-peer median and the P90 target on the most common office visit, the leverage you capture when you renegotiate on time.
Reddenda local-peer commercial rate index (CA), CPT 99213 P50 $86 vs P90 $239
Why it exists

The renewal window opens and closes without you.

Payer contracts roll over on the payer's schedule, often auto-renewing with a narrow notice window buried in the paperwork. Miss that door and you are locked into last year's rates for another full term, while the local-peer P90 sits far above what you are actually paid. Most practices never even see the window open.

See it on a real code
Pulling the local-peer benchmark...
Live from Reddenda's dataset - public federal Transparency-in-Coverage + CMS. Local-peer median, never national. No PHI. Modeled, not guaranteed.
How it works

How Renewals works

STEP 1

Map the windows

Detect renewal timing from public contract signals and add your own payer dates onto one rolling 12-month leverage calendar.

STEP 2

Price each door

Every window pulls that payer's real rate gap from the by-payer engine, measured vs your local-peer median with a P90 target, modeled not guaranteed.

STEP 3

Walk in armed

Tuenda drafts a per-payer negotiation playbook and a pasteable ask email, citing your documented gap code by code.

What it does for you

The leverage lives in the timing

2.78x
P50-to-P90 spread on CPT 99213 ($86 to $239), the room you capture when you negotiate on time
500+
payers with renewal windows and rates live across
No PHI
public rate data only, no chart data or claims required
Independent practiceSee every payer renewal on one calendar, ranked by dollars at stake, and open each conversation with that payer's own documented gap instead of a guess.
Billing & RCMRun every client's renewal timeline in one view, so no contract quietly auto-renews at last year's rates while a P90 gap sits on the table.
Specialty groupHigh-value codes move real money: CPT 27447 runs $1,746 at the local-peer median vs $5,749 at P90, so one well-timed renewal is worth the whole quarter.
MSO / multi-locationCoordinate renewal timing across every location and NPI in the portfolio. Multi-NPI roll-ups are never gated, so schedule a call and we map the whole book.

Open the door on your schedule.

Load your payers, see each renewal window paired with its documented gap, and get the AI playbook before you sit down at the table.

Open in the app →Book a call
Multi-NPI or a whole book? Schedule a call - never a listed price.